This presentation, from the South African AIDS Conference in Durban on June 13, 2016, focuses on an analysis of South Africa’s progress toward achieving its differentiated care targets.
In South Africa, the National Department of Health developed differentiated care facility decongestion strategies to “reward” adherence of stable chronic patients, including patients on ART, with a faster service and flexibility to choose their preferred medication collection service via three options:
- Spaced and fast last appointment system (in facility)
- Adherence clubs (in facility or community, where ART is provided)
- Central chronic medication dispensing and distribution (CCMDD) (through external pick up points, adherence clubs or spaced and fast lane appointments)
Researchers conducted an analysis of programmatic data from 271 facilities in five districts from July 2016 and April 2017 in South Africa, supported by BroadReach. Key takeaways, challenges, and lessons learned are presented here.
